Internet-delivered CBT for Adolescents With GAD (BIPWorry)
Generalized Anxiety Disorder
About this trial
This is an interventional treatment trial for Generalized Anxiety Disorder focused on measuring GAD, Adolescents, Internet-delivered Cognitive behavioral therapy, ICBT, CBT
Eligibility Criteria
Inclusion Criteria:
- A score on the Penn State Worry Questionnaire for Children (PSWQ-C) of > 30
- Fulfilling DSM-5 criteria for Generalized Anxiety Disorder
- No other disorder or symptoms present in need of more urgent treatment
- Aged between 13 and 17 years
- Ability to read and write in Swedish
- A parent or caregiver that is able to participate in the treatment
- Participants on psychotropic medication must have been on a stable dose for the last 6 weeks prior to baseline assessment
- No other ongoing psychological treatment for any disorder
Exclusion Criteria:
- The presence of symptoms suggestive of a current diagnosis of Autistic Spectrum Disorder, Schizophrenia, Bipolar Disorder, Anorexia Nervosa, Bulimia, or Substance Use Disorder
- Present risk of suicide
- Present occurrence of domestic violence
- Completed CBT for any anxiety disorder within the last 6 months (defined as at least 5 sessions of CBT including in vivo exposure sessions)
Sites / Locations
- Karolinska Institutet
Arms of the Study
Arm 1
Experimental
Internet-delivered CBT
Internet-delivered Cognitive Behavioral Therapy (ICBT) for GAD, 10 weeks. Patients and their parents work with separate programs via the Internet. Both have contact with a therapist. Participants practice awareness of worry through daily worry monitoring. They identify their own behaviors that reinforce worry, i.e. control and avoidance behaviors. The program gives a rationale for behavior change, which is then implemented. Participants practice problem solving and exposure to uncertainty inducing situations and thoughts. Parents receive support and psycho education about worry. They practice alternative parental behaviors, which decrease focus on worry while validating the child's feelings. Treatment contains planning for maintenance of treatment gains for both patients and parents.